D5IMB TYPE OF SOLUTION D5IMB Balanced Multiple Maintenace Solution with 5% dextrose CLASSIFICATION Hypertonic solution CONTENT Formulation:

Eacg 100 mL contains: Dextrose monohydrate=5 g Sodium Acetate, Anhydrate= 189 mg Potassium Chloride=141 mg Sodium Phophate Monobasic=21.4 mg Magnesium Chloride Hexahydrase= 30.5 mg Monopotassium Phophate= 15 mg Eectrolytes in 1000 mL: Sodium= 25 mmol Potassium= 20 mmol Magnesium= 1.5 mmol Acetate= 23 mmol Chloride= 22 mmol Phophate= 3 mmol Osmolarity= 350 mmol pH= 4-6.5 MECHANISM OF ACTIONContain a high concentration of solute relative to another solution (e.g. the cell's cytoplasm). When a cell is placed in a hypertonic

solution, the water diffuses out of the cell, causing the cell to shrivel INDICATION Slow administration essential to prevent overload (100 mL/hr) Water intoxication Severe sodium depletion CONTRA-INDICATION -phlebitis, peripheral edema, cellular dehydration HOW SUPPLIED 500 mL single dose container NURSING RESPONSIBILITIES > Do not administer unless solution is clear and container is undamaged. > Caution must be exercised in the administration of parenteral fluids, especially those containing sodium ions to patients receiving corticosteroids or corticotrophin. >Solution containing acetate should be used with caution as excess administration may result in metabolic alkalosis. >Solution containing dextrose should be used with caution in patients

with known subclinical or overt diabetes mellitus. > Discard unused portion. > In very low birth weight infants, excessive or rapid administration of dextrose injection may result in increased serum osmolality and possible intracerebral hemorrhage. ( Potter 2005: 1162)